Here is the short (really) version of just the medical aspect
of Nathan's NICU stay......

Birthday!

June 23,2004

Nathan was born at 3:09 a.m. He weighed 615 grams
(roughly around 1 pound 4 ounces). He was 29.5cm (11.6 inches). His eyes
were still fused shut. He was 24 weeks and 3 days gestational.

APGAR Scores

5 at 1 minute and 6 at 5 minutes. He required bag and
mask resuscitation, was given surfactant and was intubated in the
nursery.

Procedures while in NICU

6-23-04

surfactant therapy, echocardiogram, phototherapy, PICC
line placed

6-25-04

cranial ultrasound

6-29-04

echocardiogram

6-30-04

echocardiogram

7-02-04

blood transfusion

7-06-04

blood transfusion

7-08-04

cranial ultrasound

7-10-04

blood transfusion

7-12-04

cranial ultrasound

7-15-04

platelet transfusion, blood transfusion

7-16-04

echocardiogram, abdominal ultrasound

7-17-04

platelet transfusion, blood transfusion

7-18-04

platelet transfusion

7-20-04

platelet transfusion

7-21-04

blood transfusion

7-23-04

platelet transfusion, PICC line

7-24-04

blood transfusion

7-25-04

platelet transfusion

7-26-04

EEG, cranial ultrasound

7-27-04

renal ultrasound

7-29-04

platelet transfusion, blood transfusion

8-06-04

blood transfusion, 2 abdominal ultrasounds

8-09-04

platelet transfusion

8-16-04

abdominal ultrasound

8-24-04

upper GI series, blood transfusion

9-08-04

sleep study before being released

*Resolved* Diagnoses while in the NICU

these have the day noted and the day resolved

Patent Ductus Arteriosis

6-23 / 6-30
medications: indomethacin

Arrythmia

6-24 / 7-7 had arrythmia on 6-23,
possible 2nd degree heart blockage

Possible Sepsis

6-23 / 6-30 medications ampicillin, gentamicin

Possible Sepsis

7-1/7-31 medications oxacillin,
gentamicin, ambisome, cefotaxime,

Candida UTI

7-13 / 7-20 medications ambisome

Conjunctivitis

8-04 / 8-11 medications Na Sulamyd Ophth

Thrombocytopenia

7-7 / 9-4 received platelet transfusions for this

At Risk for IVH

6-23 / 721 received cranial ultrasounds

Apnea of Prematurity

6-25 / 723 medications caffeine citrate

Seizures

7-25 / 8-12 medications phenobarbital, EEG

Ascites

8-12 / 8-26 abdominal ultrasounds to monitor

Possible Malrotation of Bowel

8-12 / 8-26 abdominal ultrasounds and upper GI
series

Hydronephrosis

7-13/7-31 renal ultrasounds to monitor

Hydronephrosis

8-07 / 8-25 medications amoxicillin abdominal and
renal ultrasounds

LINES

had many PICC lines placed.... as well as UVC (umbilical
venous catheter) on insertion of the UVC perforated his liver, one
PICC line infiltrated and caused swelling of his entire body

Hypoproteinemia

7-16 / 7-24 medications albumin

2 month Immunizations

8-22/9-05

Hypocalcemia

6-24/6-27 medications calcium gluconate

Hyperglycemia

6-24 / 6-27 put on insulin drip

Hyperglycemia

7-12 / 7-15 put on insulin drip

Hyponatremia

7-21 / 7-24 medications calcium gluconate

Summary Information

Respiratory Support

conventional ventilator

6-23-04 / 6-26-04

NP CPAP

6-26-04 / 7-01-04

conventional ventilator

7-01-04 / 7-15-04

oscillator vent

7-15-04 / 7-16-04

conventional ventilator

7-16-04 / 8-11-04

nasal CPAP

8-11-04 / 8-21-04

nasal cannula

8-21-04 / 2-08-05

Nutritional Support

IV Fluids

6-23-04 / 6-24-04

TPN ( total parenteral
nutrition by IV) only

6-24-04 / 7-06-04

TPN and feeds

7-06-04 / 7-08-04

TPN only

7-08-04 / 8-01-04

TPN and feeds

8-01-04 / 8-12-04

IV Fluids and feeds

8-12-04 / 8-15-04

gavage feeds

8-15-04 / 9-04-04

gavage and oral feeds

9-04-04 / 9-05-04

oral feeds

9-05-04 / 9-08-04 (day of discharge)

Diagnoses that were deemed *on going and
active* at the time of Nathan's Discharge on September 08, 2004

Bronchopulmonary Dysplasia

onset 6-23-04 received the medications albuterol,
fentanyl, furosemide, lasix, chlorothiazide, spironolactone, and
surfactant during NICU stay. Was ventilated several times during his
stay

Patent Formen Ovale

tiny pfo in his left -to-right flow ( this resolved
by December 04)

Anemia of Prematurity

he had several blood and platelet transfusions for
this put on iron enriched formula when discharged

Elevated Liver Enzymes

Had blood work performed once a month to watch these
levels.... (resolved by Jan 05)

Hypothyroidism

received daily doses of synthroid while in the NICU
and until his 2nd birthday

Retinopathy of Prematurity

received weekly visits to the Dean McGee Eye
Institute, laser surgery on his left eye in October 2004, laser surgery
on his right eye in November 2004. He got glasses in June 2006

Thankfully Nathan required no surgeries while in the NICU. He
had his laser surgeries after coming home, and in May 2005 he had surgery for
bilateral hernia's, removal of a fluid sac, undescended testicle and got
circumcised all at once!